Nokea
A nurse is assessing a family of a patient with a persistent mental disorder. In comparing this family to one without a member who has a mental disorder, which function would the nurse expect this family to serve? Select all that apply.
- A. Providing support
- B. Providing socialization
- C. Advocating for services
- D. Providing information
- E. Monitoring services
Correct Answer: A,B,C,D,E
Rationale: Families of patients with persistent mental disorders serve all listed functions: providing support (A) and socialization (B) for the patient, advocating for services (C), providing information (D) to healthcare providers, and monitoring services (E) to ensure appropriate care, unlike families without such conditions.
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A nurse is planning a support group for the families of patients with psychiatric disorders. The nurse integrates knowledge of which of the following as the primary underlying issue related to stress that the families experience?
- A. Severity of the patient?s symptoms
- B. Barriers faced by the patient
- C. Stigma associated with the diagnosis
- D. Risk for relapse
Correct Answer: C
Rationale: Stigma associated with psychiatric disorders is a primary source of stress for families, impacting their social interactions and emotional well-being. Symptom severity, barriers, and relapse risk contribute but are secondary to the pervasive impact of stigma.
A nurse is engaged in developing a relationship with a family during a family assessment. Which of the following would be important? Select all that apply.
- A. Demonstrating culturally competent nursing skills
- B. Completing the assessment efficiently in the first meeting
- C. Identifying the family?s immediate needs
- D. Exhibiting a professional image
- E. Investigating the adherence to the medication regimen
Correct Answer: A,C,D
Rationale: Building a relationship involves culturally competent skills (A), identifying immediate needs (C), and maintaining professionalism (D) to establish trust. Completing the assessment in one meeting (B) is unrealistic, and medication adherence (E) is a specific intervention, not relationship-building.
A male patient has recently been diagnosed with type II diabetes. His family is having trouble incorporating the dietary and exercise regimen prescribed by his physician into their daily routines. They tell the nurse that they are all tired when they return home from school and work and that the last thing any of them want to do is go on a walk. In addition, the patient?s wife discloses that she is unable to prepare any sugar-free or low-sugar foods that her husband enjoys eating. Based on this information, which nursing diagnosis would be most appropriate for this family?
- A. Interrupted Family Processes
- B. Ineffective Denial
- C. Caregiver Role Strain
- D. Ineffective Family Therapeutic Regimen Management
Correct Answer: D
Rationale: The family?s difficulty incorporating the prescribed dietary and exercise regimen indicates ineffective family therapeutic regimen management, as they struggle to adhere to the medical plan. Interrupted processes, denial, and caregiver strain do not directly address the regimen adherence issue.
While assessing a family system, the nurse uses the structural family system model by Minuchin. The nurse focuses the assessment on which of the following about the family members?
- A. Boundaries
- B. Emotional cutoff
- C. Sibling position
- D. Family projection process
Correct Answer: A
Rationale: Minuchin?s structural family therapy model focuses on assessing family boundaries (clear, rigid, or diffuse) to understand roles and interactions. Emotional cutoff, sibling position, and family projection process are concepts from Bowen?s theory, not Minuchin?s model.
While caring for a family, the nurse determines that first-order changes have occurred with which of the following?
- A. The children are all in school, and the parent returns to work.
- B. The daughter leaves home to attend college.
- C. The son marries his long-time sweetheart and moves into his own home.
- D. The grandmother who has been living in the household dies.
Correct Answer: A
Rationale: First-order changes are superficial adjustments within a family system that do not alter its structure, such as a parent returning to work when children start school. Options B, C, and D involve structural changes (leaving home, marriage, or death), which are second-order changes.